Mrs Theodora Wong, MD, RD - Medicare in City Of Industry, CA

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Mrs Theodora Wong, MD, RD is a medicare enrolled "Physical Medicine & Rehabilitation" provider in City Of Industry, California. Her current practice location is 12801 Crossroads Pkwy S, City Of Industry, California. You can reach out to her office (for appointments etc.) via phone at (562) 463-4357.

Mrs Theodora Wong is licensed to practice in California (license number A187282) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1558881292.

Contact Information

Mrs Theodora Wong, MD, RD
12801 Crossroads Pkwy S,
City Of Industry, CA 91746-3502
(562) 463-4357
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMrs Theodora Wong
GenderFemale
SpecialityPhysical Medicine & Rehabilitation
Location12801 Crossroads Pkwy S, City Of Industry, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1558881292
  • Provider Enumeration Date: 06/23/2017
  • Last Update Date: 07/03/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 0143642173
  • Enrollment ID: I20241031000780

Medical Identifiers

Medical identifiers for Mrs Theodora Wong such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1558881292NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
133V00000XDietitian, Registered 1041101 (* (Not Available))Secondary
208100000XPhysical Medicine & Rehabilitation A187282 (California)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Theodora Wong allows following entities to bill medicare on her behalf.
Provider NameSouthern California Permanente Medical Group
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1770515280
PECOS PAC ID: 6002729175
Enrollment ID: O20031110000678

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Theodora Wong is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Theodora Wong, MD, RD
13522 Newport Ave Ste 100,
Tustin, CA 92780-3707

Ph: (626) 215-7996		Mrs Theodora Wong, MD, RD
12801 Crossroads Pkwy S,
City Of Industry, CA 91746-3502

Ph: (562) 463-4357

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.